Posted by djmmm on September 16, 2003, at 9:46:43
In reply to What can they use to augment Nardil?, posted by jerrympls on September 12, 2003, at 23:04:28
> Nardil has been good for me - but after a couple months on it - it seems to have lost its luster. I'm on 75mgs. I feel less depressed - but still have a lot of lethargy (can't get up the energy to clean my apt., do dishes, laundry, etc), a LOT of daytimes sleepiness and a big lack of motivation. I'm a musician and although some of my "want" to listen to music has returned, I don't feel the passion to perform music. I still don't have any interest in my former hobbies and can barely get off the couch some days. Work has been better - but I just feel like giving up many days because I'm so apathetic.
>
> I asked my psych doc (a 4th year resident) if we could add a small amount of Ritalin (even though I provided her some info about it being safe) - but she stays away from anything her PDA says is contraindicated with MAOIs. What about Provigil? I just need a small amount of a stimulant but how to convince her that any are safe? Maybe a switch to Parnate? My other choice is to go to high doses of Effexor + lithium and perhaps a stimulant.
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> Anyone at all out there have any insight into this issue of augmenting Nardil?? There has to be SOMETHING.
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> Please please please -- anyone with any experiences??? knowledge?????
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> Thanks MUCH in advance!!
>
> Jerry
>My theory is that apathy/lack of motivation is caused by overmedicating...too much serotonin can cause as many problems as decreased serotonin levels... 75mg is a high dose of Nardil...for me at least, I felt strange whenever I increased my dose from 60 to 75....for what it's worth, most people respond to 45mg...ask you psychiatrist what she thinks about this....on the other hand, many peole have added a mild stimulant (ritalin, etc) to an MAOI with no problems. Parnate is a bit more stimulating than Nardil (probably because of Nardil's effect on GABA)...
poster:djmmm
thread:259528
URL: http://www.dr-bob.org/babble/20030912/msgs/260596.html